LISA IANNEILLO RUBINO NP
NPI 1154833523
Nurse Practitioner - Family in Lake Charles, LA

Q: What is Lisa Rubino's NPI number?

The NPI number for Lisa Rubino is 1154833523. It was assigned to this individual provider in the NPPES registry on October 25, 2017. The provider is also known as Lisa Marie Ianneillo.

Q: What is Lisa Rubino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Rubino was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment

1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601(337) 494-4720(337) 494-2085 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Oct 25, 2017 (2 updates tracked since 2017).

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About Lisa Ianneillo Rubino Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA IANNEILLO RUBINO NP (NPI 1154833523) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (AP04844) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1154833523

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA IANNEILLO RUBINOCredential: NP

Location Address1717 OAK PARK BLVD FL 3Lake Charles, LA 70601-8990

Mailing AddressPo Box 122425 Dept 2425Dallas, TX 75312-2425 · (337) 494-2921 · Fax (337) 494-6523

Phone(337) 494-4720

Fax(337) 494-2085

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 25, 2017

Last NPPES UpdateJune 9, 20222 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1154833523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · AP04844

1717 OAK PARK BLVD FL 3, Lake Charles, LA 70601

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Other Names 1

Former Name (1)Lisa Marie Ianneillo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Ianneillo Rubino Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214294701

PECOS Enrollment IDI20171208002389

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190060

Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILEY CRAWFORD ESPARZA RD

Dietitian, Registered